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Home My WebLink About0485 WEST MAIN STREET - HAZMAT Cud Co m in�U� Gc per► �e rv�'� tW Number Fee 301 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Commercial Linen Service, Inc. PO Box 111 - 485 West Main St., West Hyannisport,MA 02672 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J. CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable oFVEr Regulatory Services ti • ``P w ° Thomas F. Geiler, Director BA LE, y M hfASS. a" public Health Division ASS. pTFOM A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 Application Fee: $100.00 )zj ASSESSORS MAP AND PARCEL NO. ,�p f r��i�j DATE �f�, A0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �� " '�'"� �� (�✓V t 1 �- NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT ��v I` ji ]�ryf • TELEPHONE NUMBER SOLE OWNER:kYES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04 —3 jy L45 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT PO TREASURER CLERK �hi� �hCd� Clj . SIGNATUR OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # j Haz.docA p'q r • Cape Cod Commercial Linen Service, Inc. Main Plant: 485 West Main Street, Hyannis, MA 02601 Seasonal Plant: 32 Baxter Road, Hyannis, MA 02601 Custom Ser vice: 508-771-5033 Customer HAZARD COMMUNICATION PROGRAM M Revised September 1, 2008 • Cape Cod Commercial Linen Service, Inc. HAZARD COMMUNICATION PROGRAM I INTRODUCTION II HAZARD DETERMINATION PROCEDURES III LIST OF HAZARDOUS MATERIALS IV PROCEDURES • A. LABELS AND OTHER FORMS OF WARNING B. INFORMING CONTRACTORS ABOUT HAZARDS C. CHEMICAL SPILLS AND ACCIDENTS D. CHEMICAL HANDLING,STORAGE,AND DISPOSAL V PERSONAL PROTECTIVE EQUIPMENT VI TRAINING VII APPENDIX APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS I INTRODUCTION Cape Cod Commercial Linen Service,Inc.(CCCLS)seeks to protect its employees from all unsafe exposures to hazardous chemicals known to be present in the workplace. Employees have a responsibility to learn and follow the procedures we have established to assure basic awareness of hazards and safe use of materials in our workplace. r . To ensure that all avenues are addressed,the following written hazard communication program has been established for all departments at CCCLS. These plans are to be reviewed by the Safety Committee at least every 12 months and updated as necessary to reflect significant changes in the status of our program. A list of the Safety Committee members is contained in Appendix A. The Safety Committee is responsible for seeing that all aspects of the program are carried out. A copy of this Program and the applicable OSHA standards are available in the office of Paul Marcey for review. H HAZARD DETERMINATION PROCEDURES In accordance with the OSHA standard,we will rely upon the chemical manufacturer to identify and evaluate the various hazards of the chemicals they supply to us. The Safety Committee will rely upon information provided on the Material Safety Data Sheet(MSDS). The MSDS is to identify all of the chemical characteristics as required by the OSHA standard. The Safety Committee will insure that MSDS's are readily accessible and that supervisors know their location. A. Respective Department Heads should see that each MSDS sheet is reviewed when received to see that it contains the following information: • * Identities used on labels * Chemical and common(generic)names * Physical and chemical characteristics * Physical hazards * Health hazards(signs&symptoms of exposure,medical conditions aggravated by exposure) * Primary routes of entry * Air exposure limits * Carcinogenicity * Emergency and first aid procedures * Date of preparation of MSDS *Name,address and phone number of MSDS preparer or distributor * Any generally applicable precautions for safe handling and use that are known to the chemical manufacturer or employer preparing the MSDS,including appropriate hygienic practices, protective measures during repair and maintenance of contaminated equipment,and procedures for clean-up of spills and leaks. * Any generally applicable control measures which are know to the chemical manufacturer,or employer preparing the MSDS, such as appropriate engineering controls,work practices,or personal protective equipment. * The OHSA permissible exposure limit,ACGIH Threshold Limit Value, and any other exposure limit used or recommended by the chemical manufacturer or employer preparing the • MSDS. • * Whether the hazardous chemical is listed in the National Toxicology Program Annual Report on Carcinogens(latest edition)or has been found to be a potential carcinogen in the International Agency on Cancer Monographs or by OSHA. B. The Safety Committee will write to the supplier for any missing information. If the supplier does not respond within 30 days the purchaser will be notified to find a new supplier or the Safety Committee will file a complaint with the local OSHA Area Office. C. The Safety Committee will coordinate necessary monitoring for any chemical in the workplace which is questionable or required by law. Monitoring will be conducted in one of the following manners: (1)in-house using Wittenberg University equipment and personnel or(2)by an independent consulting firm. III LIST OF HAZARDOUS CHEMICALS A complete list of MSDS's for all chemicals used within CCCLS will be kept in the office of Paul Marcey. Further information such as the physical&chemical hazards of the chemicals, Detection methods and protective measures for each chemical can be obtained by reviewing the MSDS. Employees are entitled to a copy of the MSDS if they so request. The list of all hazardous chemicals shall be subjected to cross-reference to the MSDS for each listed chemical. IV PROCEDURES FOR LABELING AND OTHER METHODS OF • COMMUNICATION A. Labels and Other Forms of Warning. All containers in the workplace are to be labeled. The purpose of labeling each container is to properly identify the contents of the container so that the employee is warned as to what type of hazard(if any)the contents of the container present. a. Since chemical manufacturers are required to label their containers,CCCLS will use these labels as our primary means of labeling. Such chemical manufacturers are required to label their containers to meet OSHA standards. b. Chemicals removed from the original bottles will be identified by a label which shall contain the name of the chemical,the date on which the label was prepared,and the initials of the person preparing the label. Solutions will be labeled with the identity of the solvent,the concentration of each of the solutes,the date on which the solution was prepared, and the initials of the person who prepared the solution. For those chemicals and solutions for which a significant fire,explosion,health,or carcinogenicity hazard exists,the label shall identify the hazard and the severity of the hazard. For each type of hazard with a solution,the hazard severity information indicated on the label shall be,for that hazard,the most severe hazard indicated on the MSDS for any of the constituents of the solution. The MSDS will be used in each case where a label is lost or illegible. • r • c. The Safety Committee or their designee within the respective departments will ensure that all containers of chemicals in the departments are correctly labeled. Any container which does not have this information may be returned to the supplier,at the supplier's expense. d. Each Department Head has the overall responsibility of ensuring that all containers of chemicals used in his or her department are correctly labeled. e. Labels are not to be removed from any container, or defaced in any manner. f. Empty containers are not to be re-used to store other materials unless the container has been cleaned,the old label removed,and a new label affixed in its place prior to its re-use. B. Informing Contractors about Hazards. To assist in evaluating potential exposures and to ensure that a contractor's employees are provided with information regarding potential hazards,prior to any contractor entering the work site the Director of Physical Plant,in consultation with the appropriate department head, will notify the contractor of any potential hazards relating to chemicals. The Safety Committee is a resource for the Director of Physical Plant to use to assist in identifying any potential hazards in the work site. 1 C. Chemical Spills and Accidents.cc dents. • a. Should a hazardous material spill or accident occur,immediate attention is required by the person causing the spill to minimize the spread of the spilled material. It is then the responsibility of the person causing the spill to report the spill to the department supervisor. Except for the most minor spills,the department supervisor will arrange for the cleanup of the spilled material. Outside help will be called in to clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation. b. In the event of a hazardous material emergency outside a building,outside help may be called in to help clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation c. After the emergency, a Security Department"Incident Report" will be completed by the Security Department(sample "Incident Report" is shown in Appendix E). All accidents or near accidents will be carefully analyzed by the Safety Committee and the recommendations arising from the analysis will be distributed to all who might benefit from the information. Also, as a follow up to any safety related Incident Reports,a written recommendation will be sent to the Director of Security and a copy filed with the Incident Report for a permanent record. d. In the event of chemical exposure to the eyes,employee will be directed immediately to the "Emergency Eye Wash Station"located next to the tying machine. The employee must flood the effected area for 15 minutes until the chemical is washed out. • i • e. In the event of chemical exposure to the body,employee will be directed immediately to the wash room, either men's or women's,and wash the effected area for 15 minutes until the chemical is washed out. D. Chemical Handling, Storage and Disposal. Materials will be stored, insofar as is practicable,in their original containers. Bottles of chemicals should be placed on the storage shelves in such a way as to minimize the danger of bottles falling off the shelf. Chemicals will be stored on the shelves by chemical property. Highly toxic materials will be stored separately from other chemicals in a room which is locked when not in use. Flammable materials will be stored separately from other chemicals in special cabinets. All chemicals will be examined at least annually to determine the need for replacement and the integrity of the container and label. The proper disposal of hazardous material wastes is necessary to protect people,plants,and animals from harm that could be caused by the improper and careless disposal of these wastes. V PERSONAL PROTECTIVE EQUIPMENT Most personal protective equipment is provided by CCCLS to employees when and where necessary. It is the responsibility of each employee to be certain that the appropriate equipment • is worn as necessary. The assessment of any hazards associated with exposure to hazardous chemicals which require the wearing of personal protective equipment is the responsibility of CCCLS. It is the responsibility of each employee to wear personal protective equipment as provided by CCCLS or as required by CCCLS. Eye Protection: Appropriate eye protection is provided to be worn by all persons,when chemicals are handled. For specific regulations see a copy of the "Wittenberg University Eye Protection Policy" attached to the Chemical Hygiene Plan. Hand Protection: Appropriate gloves are provided to be worn when the potential for contact with toxic materials exists. Inspect the gloves before each use. : Use appropriate dust masks when air containment concentrations are excessive. Inspect the dust masks before use. Miscellaneous: Use any other protective and emergency apparel and equipment appropriate. VI TRAINING CCCLS will provide employees with information and training on hazardous chemicals in their work area at the time of employment and whenever a new hazard is introduced into their work • area. Annual refresher training will also be given. The Safety Committee will make available to each new employee a copy of the MSDS pamphlet(Appendix D). Our training is to be an opportunity to explain to employees not only the hazards of the chemical's in their work area,but also how to use the information provided in our Hazard Communication Program. This training will be accomplished by the department supervisor in an on-the-job basis. Training will include an opportunity for employees to ask questions to ensure that they understand the information presented to them. Specifically,the training will include the • following: a. The requirements of the applicable OSHA standard 29 CFR 1910.1200. b. The operations in their work area where hazardous materials are present. c. Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area(visual appearance,odor,monitoring,etc.). d. The physical and health hazards of the chemicals in the work area e. The measures employees can take to protect themselves from these hazards, including specific procedures CCCLS has implemented to protect the employees from exposure such as appropriate work practices,emergency procedures,and personal protective equipment to be used. f. The details of this Hazard Communication Program;the location and availability of the written program; an explanation of the labeling system and the MSDS; and how the employees can obtain and use the information. g. The personal protective equipment required for the employees specific job(if any). • APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS APPENDIX A Safety Committee Members Jeffrey Ehart,President/Owner Max Cesard, General Manager,West Main Street Manager Paul Greenwood,Baxter Road Manager APPENDIX B r • MSDS SHEETS MSDS Sheets are available for review and are located in the office of Max Cesard and Paul Greenwood or the designated manager at the appropriate plant. APPENDIX C EMERGENCY PHONE NUMBERS Police 911 Fire 911 Rescue 911 Poison Control 1-800-222-1222 Chemical Emergency Assistance 1-800-424-9300 • MassDEP 508-946-2785 Triumvirate Environmental 800-966-9282 Barnstable Health Dept. 508-862-4644 CCCLS Contacts Jeffrey Ehart 508-428-1639(H),508-776-3066(CELL) Max Cesard 774-238-0704 (CELL) Paul Greenwood 973-787-7637(CELL) ` Town of Barnstable �oF�HE T°wti Regulatory Services ° Thomas F. Geiler, Director BARNSTABLE, y MASS. �a ]Public Health Division 60 1639. MP�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 iO4 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT Gj ADDRESS OF ESTABLISHMENT v? y0 TELEPHONE NUMBER ' SOLE OWNER: ✓YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK . SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Flaz.doc;"p'y �s Number Fee 301 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barns table e Board of Health This is to Certify that Cape Cod Commercial Linen Service Inc. PO Box 111 -4.85 West Main St., West Hyannisport,MA 02672 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------- -------------------------------------------------=--- --------------------------------------------------------------------------------------- -------------- --------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating thereto, and and expires 6/30/2010 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/20UJ JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town 0f Barnstable `j Barnstable THE ° T ° Regulatory Services Department • i Public Health Division a a;R+s-rABLF_ 9�A ; a ,�� 200 Main Street, Hyannis MA 02601 m l�D hiA'�A l 2007•..,r Office: 508-862-4644 Thomas F.Geller,Director FAX: 508-79.0-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. Ir J DATE APPLICATION FOR PER.I 11T TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J 1 NAME OF ESTABLISHMENT CCAOeC-6 d P_X�(J14t_ C^ ! 1 - • ADDRESS OF ESTABLISHMENT "f o - .G�.(r�. S ' 14z,64 h In TELEPHONE NUMBER_ 5 u D T� j 5U 3 SOLE OWNER: " YES NO ;s --a IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: p e� r 4� y¢ m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.� s 5 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENTJI ) jf: E�Xr �� St lam_ !l�� 'It_ 0S-j6,tjIlc. &,I TREASURER CLERK • SIGNATURE OF APPIMCANT RESTRICTIONS: HOME ADDRESS of S SAy�o tfid le-, HOME TELEPHONE# 2JK q2.K 163!�___ QAHazrnat`.Hat Mat Application2008.DOC a 6 NIAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc.)_ In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow time for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In • addition, please mail the required fee of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page QAHazrn,-LAr i/lad Auplication200S.DOC r Cape Cod Commercial Linen Service, Inc. Main Plant: 485 West Main Street, Hyannis, MA 02601 Seasonal Plant: 32 Baxter Road, Hyannis, MA 02601 Customer Service: 508-771-5033 HAZARD COMMUNICATION PROGRAM • Revised September 1, 2008 r • Cape Cod Commercial Linen Service, Inc. HAZARD COMMUNICATION PROGRAM I INTRODUCTION II HAZARD DETERMINATION PROCEDURES III LIST OF HAZARDOUS MATERIALS IV PROCEDURES A. LABELS AND OTHER FORMS OF WARNING • B. INFORMING CONTRACTORS ABOUT HAZARDS C. CHEMICAL SPILLS AND ACCIDENTS D. CHEMICAL HANDLING, STORAGE,AND DISPOSAL V PERSONAL PROTECTIVE EQUIPMENT VI TRAINING VII APPENDIX APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS I INTRODUCTION Cape Cod Commercial Linen Service, Inc.(CCCLS) seeks to protect its employees from all unsafe exposures to hazardous chemicals known to be present in the workplace. Employees have a responsibility to learn and follow the procedures we have established to assure basic • awareness of hazards and safe use of materials in our workplace. I • To ensure that all avenues are addressed,the following written hazard communication program has been established for all departments at CCCLS. These plans are to be reviewed by the Safety Committee at least every 12 months and updated as necessary to reflect significant changes in the status of our program. A list of the Safety Committee members is contained in Appendix A. The Safety Committee is responsible for seeing that all aspects of the program are carried out. A copy of this Program and the applicable OSHA standards are available in the office of Paul Marcey for review. II HAZARD DETERMINATION PROCEDURES In accordance with the OSHA standard,we will rely upon the chemical manufacturer to identify and evaluate the various hazards of the chemicals they supply to us. The Safety Committee will rely upon information provided on the Material Safety Data Sheet(MSDS). The MSDS is to identify all of the chemical characteristics as required by the OSHA standard. The Safety Committee will insure that MSDS's are readily accessible and that supervisors know their location. A. Respective Department Heads should see that each MSDS sheet is reviewed when received to see that it contains the following information: • * Identities used on labels * Chemical and common(generic)names * Physical and chemical characteristics * Physical hazards * Health hazards (signs& symptoms of exposure,medical conditions aggravated by exposure) * Primary routes of entry * Air exposure limits * Carcinogenicity * Emergency and first aid procedures * Date of preparation of MSDS * Name, address and phone number of MSDS preparer or distributor * Any generally applicable precautions for safe handling and use that are known to the chemical manufacturer or employer preparing the MSDS, including appropriate hygienic practices, protective measures during repair and maintenance of contaminated equipment, and procedures for clean-up of spills and leaks. * Any generally applicable control measures which are know to the chemical manufacturer,or employer preparing the MSDS, such as appropriate engineering controls,work practices, or personal protective equipment. * The OHSA permissible exposure limit, ACGIH Threshold Limit Value, and any other exposure limit used or recommended by the chemical manufacturer or employer preparing the . MSDS. . * Whether the hazardous chemical is listed in the National Toxicology Program Annual Report on Carcinogens(latest edition)or has been found to be a potential carcinogen in the International Agency on Cancer Monographs or by OSHA. i B. The Safety Committee will write to the supplier for any missing information. If the supplier does not respond within 30 days the purchaser will be notified to find a new supplier or the Safety Committee will file a complaint with the local OSHA Area Office. C. The Safety Committee will coordinate necessary monitoring for any chemical in the workplace which is questionable or required by law. Monitoring will be conducted in one of the following manners: (1)in-house using Wittenberg University equipment and personnel or(2)by an independent consulting firm. III LIST OF HAZARDOUS CHEMICALS A complete list of MSDS's for all chemicals used within CCCLS will be kept in the office of Paul Marcey. Further information such as the physical &chemical hazards of the chemicals, Detection methods and protective measures for each chemical can be obtained by reviewing the MSDS. Employees are entitled to a copy of the MSDS if they so request. The list of all hazardous chemicals shall be subjected to cross-reference to the MSDS for each listed chemical. • IV PROCEDURES FOR LABELING AND OTHER METHODS OF COMMUNICATION A. Labels and Other Forms of Warning. All containers in the workplace are to be labeled. The purpose of labeling each container is to properly identify the contents of the container so that the employee is warned as to what type of hazard(if any)the contents of the container present. a. Since chemical manufacturers are required to label their containers, CCCLS will use these labels as our primary means of labeling. Such chemical manufacturers are required to label their containers to meet OSHA standards. b. Chemicals removed from the original bottles will be identified by a label which shall contain the name of the chemical,the date on which the label was prepared, and the initials of the person preparing the label. Solutions will be labeled with the identity of the solvent,the concentration of each of the solutes,the date on which the solution was prepared, and the initials of the person who prepared the solution. For those chemicals and solutions for which a significant fire, explosion, health, or carcinogenicity hazard exists,the label shall identify the hazard and the severity of the hazard. For each type of hazard with a solution,the hazard severity information indicated on the label shall be, for that hazard,the most severe hazard indicated on the MSDS for any of the constituents of the solution. The MSDS will be used in • each case where a label is lost or illegible. • c. The Safety Committee or their designee within the respective departments will ensure that all containers of chemicals in the departments are correctly labeled. Any container which does not have this information may be returned to the supplier, at the supplier's expense. d. Each Department Head has the overall responsibility of ensuring that all containers of chemicals used in his or her department are correctly labeled. e. Labels are not to be removed from any container, or defaced in any manner. f. Empty containers are not to be re-used to store other materials unless the container has been cleaned,the old label removed, and a new label affixed in its place prior to its re-use. B. Informing Contractors about Hazards. To assist in evaluating potential exposures and to ensure that a contractor's employees are provided with information regarding potential hazards,prior to any contractor entering the work site the Director of Physical Plant, in consultation with the appropriate department head, will notify the contractor of any potential hazards relating to chemicals. The Safety Committee is a resource for the Director of Physical Plant to use to assist in identifying any potential hazards in the work site. C. Chemical Spills and Accidents. • a. Should a hazardous material spill or accident occur, immediate attention is required by the person causing the spill to minimize the spread of the spilled material. It is then the responsibility of the person causing the spill to report the spill to the department supervisor. Except for the most minor spills,the department supervisor will arrange for the cleanup of the spilled material. Outside help will be called in to clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation. b. In the event of a hazardous material emergency outside a building, outside help may be called in to help clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation c. After the emergency, a Security Department"Incident Report" will be completed by the Security Department(sample "Incident Report" is shown in Appendix E). All accidents or near accidents will be carefully analyzed by the Safety Committee and the recommendations arising from the analysis will be distributed to all who might benefit from the information. Also, as a follow up to any safety related Incident Reports, a written recommendation will be sent to the Director of Security and a copy filed with the Incident Report for a permanent record. d. In the event of chemical exposure to the eyes,employee will be directed immediately to the "Emergency Eye Wash Station" located next to the tying machine. The employee must flood the effected area for 15 minutes until the chemical is washed out. • f • e. In the event of chemical exposure to the body, employee will be directed immediately to the wash room,either men's or women's, and wash the effected area for 15 minutes until the chemical is washed out. D. Chemical Handling, Storage and Disposal. Materials will be stored, insofar as is practicable, in their original containers. Bottles of chemicals should be placed on the storage shelves in such a way as to minimize the danger of bottles falling off the shelf. Chemicals will be stored on the shelves by chemical property. Highly toxic materials will be stored separately from other chemicals in a room which is locked when not in use. Flammable materials will be stored separately from other chemicals in special cabinets. All chemicals will be examined at least annually to determine the need for replacement and the integrity of the container and label. The proper disposal of hazardous material wastes is necessary to protect people,plants, and animals from harm that could be caused by the improper and careless disposal of these wastes. V PERSONAL PROTECTIVE EQUIPMENT Most personal protective equipment is provided by CCCLS to employees when and where necessary. It is the responsibility of each employee to be certain that the appropriate equipment is worn as necessary. The assessment of any hazards associated with exposure to hazardous chemicals which require the wearing of personal protective equipment is the responsibility of CCCLS. It is the responsibility of each employee to wear personal protective equipment as provided by CCCLS or as required by CCCLS. Eye Protection: Appropriate eye protection is provided to be worn by all persons,when chemicals are handled. For specific regulations see a copy of the "Wittenberg University Eye Protection Policy" attached to the Chemical Hygiene Plan. Hand Protection: Appropriate gloves are provided to be worn when the potential for contact with toxic materials exists. Inspect the gloves before each use. Use appropriate dust masks when air containment concentrations are excessive. Inspect the dust masks before use. Miscellaneous: Use any other protective and emergency apparel and equipment appropriate. VI TRAINING CCCLS will provide employees with information and training on hazardous chemicals in their work area at the time of employment and whenever a new hazard is introduced into their work • area. Annual refresher training will also be given. The Safety Committee will make available to each new employee a copy of the MSDS pamphlet(Appendix D). f Our training is to be an opportunity to explain to employees not onl the hazards of the • g PP tY PY chemicals in their work area,but also how to use the information provided in our Hazard Communication Program. This training will be accomplished by the department supervisor in an on-the-job basis. Training will include an opportunity for employees to ask questions to ensure that they understand the information presented to them. Specifically,the training will include the following: a. The requirements of the applicable OSHA standard 29 CFR 1910.1200. b. The operations in their work area where hazardous materials are present. c. Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area(visual appearance, odor,monitoring, etc.). d. The physical and health hazards of the chemicals in the work area. e. The measures employees can take to protect themselves from these hazards, including specific procedures CCCLS has implemented to protect the employees from exposure such as appropriate work practices,emergency procedures, and personal protective equipment to be used. f. The details of this Hazard Communication Program;the location and availability of the written program; an explanation of the labeling system and the MSDS; and how the employees can • obtain and use the information. g. The personal protective equipment required for the employees specific job (if any). APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS APPENDIX A Safety Committee Members Jeffrey Ehart,President/Owner Max Cesard, General Manager,West Main Street Manager Paul Greenwood,Baxter Road Manager • APPENDIX B • MSDS SHEETS MSDS Sheets are available for review and are located in the office of Max Cesard and Paul Greenwood or the designated manager at the appropriate plant. APPENDIX C EMERGENCY PHONE NUMBERS Police 911 Fire 911 Rescue 911 Poison Control 1-800-222-1222 Chemical Emergency Assistance 1-800-424-9300 MassDEP 508-946-2785 Triumvirate Environmental 800-966-9282 Barnstable Health Dept. 508-862-4644 CCCLS Contacts Jeffrey Ehart 508-428-1639(H),508-776-3066(CELL) Max Cesard 774-238-0704 (CELL) Paul Greenwood 973-787-7637(CELL) Number Fee 301 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Commercial Linen Service, Inc. PO Box 111 -485 West Main St., West Hyannisport,MA 02672 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------- ---- ------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable r Y. Regulatory Services Thomas F. Geiler,Director e w * Public Health Division 44 ` Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 08-790-630 Application Fee:$100.00 xp; f rJ' ASSESSORS MAP AND PARCEL NO.. DATE J&- a s, g APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE.THAN. - ; , 111.GALLONS.OF.HAZARDOUS MATERIALS ;.N FULL NAME OF APPLICANT NAME OF ESTABLISHMENT C ADDRESS OF ESTABLISHMENT L TELEPHONE NUMBER C/ 0-� r, SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS ACORPORATION: FEDERAL IDENTIFICATION NO. Q 33 L45 GJ STATE OF INCORPORATION FULL NAME=.ADDRESS OF:PRESIDENTG.�l' oL� �l�G�e f��f� 1 I� UL'� Ae4 TREASURER CLERK GNATURE 4VAPPLICANT RESTRICTIONS: HOME ADDRESS O-bolq- HOMIE TELEPHONE# 50 H=doc/wp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency lan to handle hazardous wastes ills etc). In addition lease include the required fee P ( spills, ) ,P q of$100. Make check payable to: Town of Barnstable. Allow five to seven(7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the ' required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above,call(508) 862-4644 - s . I� r Number Fee 301 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Commercial Linen Service, Inc. PO Box III - 485 West Main St., MA 02672 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------- -------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstable oF� Regulatory Services °* Thomas F. Geiler,Director ' BARSS.MASS. ' Public Health Division ' 9 MA9 gy 1639. �0 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. ;?6 ))3 DATE �Z APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF'APPLICANT R CKY C 0' / (�'y& / Je!&4 R NAME OF ESTABLISHMENT �-(� C CI - C C.J � A j ADDRESS-OF ESTABLISHMENT-.-i�S^ W ._ a('1 f-f_ TELEPHONE NUMBER:. SOLE OWNER: YES NO ! IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 33gN55 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT Ief� i:e VOIlk 4# TREASURER CLERK SIGNATUht OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE 9 f CAPE COD COMMERCIAL LINEN SERVICE, INC. HAZARD COMMUNICATION PROGRAM Revised June 2, 2007 Cape Cod Commercial Linen Service, Inc. HAZARD COMMUNICATION PROGRAM I INTRODUCTION II HAZARD DETERNIINATION PROCEDURES III LIST OF HAZARDOUS MATERIALS IV PROCEDURES A. LABELS AND OTHER FORMS OF WARNING B. INFORMING CONTRACTORS ABOUT HAZARDS C. CHEMICAL SPILLS AND ACCIDENTS D. CHEMICAL HANDLING,STORAGE,AND DISPOSAL V PERSONAL PROTECTIVE EQUIPMENT VI TRAINING VH APPENDIX APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS I INTRODUCTION Cape Cod Commercial Linen Service, Inc.(CCCLS) seeks to protect its employees from all unsafe exposures to hazardous chemicals known to be present in the workplace. Employees have a responsibility to learn and follow the procedures we have established to assure basic awareness of hazards and safe use of materials in our workplace. To ensure that all avenues are addressed,the following written hazard communication program has been established for all departments at CCCLS. These plans are to be reviewed by the Safety Committee at least every 12 months and updated as necessary to reflect significant changes in the status of our program. i A list of the Safety Committee members is contained in Appendix A. The Safety Committee is responsible for seeing that all aspects of the program are carried out. A copy of this Program and the applicable OSHA standards are available in the office of Paul Marcey for review. H HAZARD DETERMINATION PROCEDURES In accordance with the OSHA standard,we will rely upon the chemical manufacturer to identify and evaluate the various hazards of the chemicals they supply to us. The Safety Committee will rely upon information provided on the Material Safety Data Sheet(MSDS). The MSDS is to identify all of the chemical characteristics as required by the OSHA standard. The Safety Committee will insure that MSDS's are readily accessible and that supervisors know their location. A. Respective Department Heads should see that each MSDS sheet is reviewed when received to see that it contains the following information: * Identities used on labels * Chemical and common(generic)names * Physical and chemical characteristics * Physical hazards * Health hazards(signs& symptoms of exposure,medical conditions aggravated by exposure) * Primary routes of entry * Air exposure limits * Carcinogenicity * Emergency and first aid procedures * Date of preparation of MSDS *Name, address and phone number of MSDS preparer or distributor * Any generally applicable precautions for safe handling and use that are known to the chemical manufacturer or employer preparing the MSDS,including appropriate hygienic practices, protective measures during repair and maintenance of contaminated equipment,and procedures for clean-up of spills and leaks. * Any generally applicable control measures which are know to the chemical manufacturer, or employer preparing the MSDS, such as appropriate engineering controls,work practices,or personal protective equipment. * The OHSA permissible exposure limit,ACGIH Threshold Limit Value,and any other exposure limit used or recommended by the chemical manufacturer or employer preparing the MSDS. * Whether the hazardous chemical is listed in the National Toxicology Program Annual Report on Carcinogens(latest edition)or has been found to be a potential carcinogen in the International Agency on Cancer Monographs or by OSHA. B. The Safety Committee will write to the supplier for any missing information. If the supplier does not respond within 30 days the purchaser will be notified to find a new supplier or the Safety Committee will file a complaint with the local OSHA Area Office. C. The Safe Committee will coordinate Safety ate necessary monitoring for any chemical in the workplace which is questionable or required by law. Monitoring will be conducted in one of the following manners: (1)in-house using Wittenberg University equipment and personnel or(2)by an independent consulting firm. III LIST OF HAZARDOUS CHEMICALS A complete list of MSDS's for all chemicals used within CCCLS will be kept in the office of Paul Marcey. Further information such as the physical&chemical hazards of the chemicals, Detection methods and protective measures for each chemical can be obtained by reviewing the MSDS. Employees are entitled to a copy of the MSDS if they so request. The list of all hazardous chemicals shall be subjected to cross-reference to the MSDS for each listed chemical. IV PROCEDURES FOR LABELING AND OTHER METHODS OF COMMUNICATION f A. Labels and Other Forms of Warning. All containers in the workplace are to be labeled. The purpose of labeling each container is to properly identify the contents of the container so that the employee is warned as to what type of hazard(if any)the contents of the container present. a. Since chemical manufacturers are required to label their containers, CCCLS will use these labels as our primary means of labeling. Such chemical manufacturers are required to label their containers to meet OSHA standards. b. Chemicals removed from the original bottles will be identified by a label which shall contain the name of the chemical,the date on which the label was prepared,and the initials of the person preparing the label. Solutions will be labeled with the identity of the solvent,the concentration of each of the solutes,the date on which the solution was prepared,and the initials of the person who prepared the solution. For those chemicals and solutions for which a significant fire,explosion,health,or carcinogenicity hazard exists,the label shall identify the hazard and the severity of the hazard. For each type of hazard with a solution,the hazard severity information indicated on the label shall be, for that hazard,the most severe hazard indicated on the MSDS for any of the constituents of the solution. The MSDS will be used in each case where a label is lost or illegible. c. The Safety Committee or their designee within the respective departments will ensure that all containers of chemicals in the departments are correctly labeled. Any container which does not have this information may be returned to the supplier,at the supplier's expense. I d. Each Department Head has the overall responsibility of ensuring that all containers of chemicals used in his or her department are correctly labeled. e. Labels are not to be removed from any container, or defaced in any manner. f. Empty containers are not to be re-used to store other materials unless the container has been cleaned,the old label removed,and a new label affixed in its place prior to its re-use. B. Informing Contractors about Hazards. To assist in evaluating potential exposures and to ensure that a contractor's employees are provided with information regarding potential hazards,prior to any contractor entering the work site the Director of Physical Plant,in consultation with the appropriate department head, will notify the contractor of any potential hazards relating to chemicals. The Safety Committee is a resource for the Director of Physical Plant to use to assist in identifying any potential hazards in the work site. C. Chemical Spills and Accidents. a. Should a hazardous material spill or accident occur, immediate attention is required by the person causing the spill to minimise the spread of the spilled material. It is then the responsibility of the person causing the spill to report the spill to the department supervisor. Except for the most minor spills,the department supervisor will arrange for the cleanup of the spilled material. Outside help will be called in to clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation. b. In the event of a hazardous material emergency outside a building, outside help may be called in to help clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation c. After the emergency, a Security Department "Incident Report" will be completed by the Security Department(sample "Incident Report" is shown in Appendix E). All accidents or near accidents will be carefully analyzed by the Safety Committee and the recommendations arising from the analysis will be distributed to all who might benefit from the information. Also,as a follow up to any safety related Incident Reports,a written recommendation will be sent to the Director of Security and a copy filed with the Incident Report for a permanent record. d. In the event of chemical exposure to the eyes,employee will be directed immediately to the "Emergency Eye Wash Station"located next to the tying machine. The employee must flood the effected area for 15 minutes until the chemical is washed out. e. In the event of chemical exposure to the body, employee will be directed immediately to the wash room,either men's or women's,and wash the effected area for 15 minutes until the chemical is washed out. D. Chemical Handling, Storage and Disposal. Materials will be stored, insofar as is practicable,in their original containers. Bottles of chemicals should be placed on the storage shelves in such a way as to minimize the danger of bottles falling off the shelf. Chemicals will be stored on the shelves by chemical property. Highly toxic materials will be stored separately from other chemicals in a room which is locked when not in use. Flammable materials will be stored separately from other chemicals in special cabinets. All chemicals will be examined at least annually to determine the need for replacement and the integrity of the container and label. The proper disposal of hazardous material wastes is necessary to protect people,plants,and animals from harm that could be caused by the improper and careless disposal of these wastes. V PERSONAL PROTECTIVE EQUIPMENT Most personal protective equipment is provided by CCCLS to employees when and where necessary. It is the responsibility of each employee to be certain that the appropriate equipment is worn as necessary. The assessment of any hazards associated with exposure to hazardous chemicals which require the wearing of personal protective equipment is the responsibility of CCCLS. It is the responsibility of each employee to wear personal protective equipment as provided by CCCLS or as required by CCCLS. Eye Protection: Appropriate eye protection is provided to be worn by all persons, when chemicals are handled. Forspecific regulations see a copy of the "Wittenberg University Eye Protection Policy" attached to the Chemical Hygiene Plan. Hand Protection: Appropriate gloves are provided to be worn when the potential for contact with toxic materials exists. Inspect the gloves before each use. Use appropriate dust masks when air containment concentrations are excessive. Inspect the dust masks before use. Miscellaneous: Use any other protective and emergency apparel and equipment appropriate. VI TRAINING CCCLS will provide employees with information and training on hazardous chemicals in their work area at the time of employment and whenever a new hazard is introduced into their work area. Annual refresher training will also be given. The Safety Committee will make available to each new employee a copy of the MSDS pamphlet(Appendix D). Our training is to be an opportunity to explain to employees not only the hazards of the chemicals in their work area,but also how to use the information provided in our Hazard Communication Program. This training will be accomplished by the department supervisor in an on-the-job basis. Training will include an opportunity for employees to ask questions to ensure that they understand the information presented to them. Specifically,the training will include the following: a. The requirements of the applicable OSHA standard 29 CFR 1910.1200. b. The operations in their work area where hazardous materials are present. c. Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area(visual appearance,odor,monitoring,etc.). d. The physical and health hazards of the chemicals in the work area. e. The measures employees can take to protect themselves from these hazards,including specific procedures CCCLS has implemented to protect the employees from exposure such as appropriate work practices, emergency procedures,and personal protective equipment to be used. f. The details of this Hazard Communication Program;the location and availability of the written program; an explanation of the labeling system and the MSDS; and how the employees can obtain and use the information. g. The personal protective equipment required for the employees specific job(if any). APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS APPENDIX A Safety Committee Members Jeffrey Ehart,President Paul Marcey,General Manager Max Cesard,Plant Manager APPENDIX B MSDS SHEETS MSDS Sheets are available for review and are located in the office of Paul Marcey,GM APPENDIX C EMERGENCY PHONE NUMBERS Police 911 Fire 911 Rescue 911 Poison Control 1-800-222-1222 Chemical Emergency Assistance 1-800-424-9300 Jeffrey Ehart 508-428-1639(H), 508-776-3066(CELL) Paul Marcey 508-790-0091(H), 774-238-0704(CELL) Max Cesard 508-460-4034(H), 774-238-0705(CELL) Number Fee 301 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Commercial Linen Service, Inc. PO Box III -485 West Main St., MA 02672 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------- ------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 24, 2006 PAUL J. CANNIFF,D.M.D. THOMAS X MCKEAN,R.S.,CHO Director of Public Health r CAPE COD COMMERCIAL LINEN SERVICE, INC. HAZARD COM MUNICATION PROGRAM Revised June 23, 2005 Cape Cod Commercial Linen Service, Inc. HAZARD COMMUNICATION PROGRAM I INTRODUCTION II HAZARD DETERMINATION PROCEDURES III LIST OF HAZARDOUS MATERIALS IV PROCEDURES A. LABELS AND OTHER FORMS OF WARNING B. INFORMING CONTRACTORS ABOUT HAZARDS C. CHEMICAL SPILLS AND ACCIDENTS D. CHEMICAL HANDLING,STORAGE,AND DISPOSAL V PERSONAL PROTECTIVE EQUIPMENT VI TRAINING VII APPENDIX APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS I INTRODUCTION Cape Cod Commercial Linen Service, Inc.(CCCLS) seeks to protect its employees from all unsafe exposures to hazardous chemicals known to be present in the workplace. Employees have a responsibility to learn and follow the procedures we have established to assure basic awareness of hazards and safe use of materials in our workplace. To ensure that all avenues are addressed,the following written hazard communication program has been established for all departments at CCCLS. These plans are to be reviewed by the Safety Committee at least every 12 months and updated as necessary to reflect significant changes in the status of our program. A list of the Safety Committee members is contained in Appendix A. The Safety Committee is responsible for seeing that all aspects of the program are carried out. A copy of this Program and the applicable OSHA standards are available in the office of Paul Marcey for review. II HAZARD DETERMINATION PROCEDURES In accordance with the OSHA standard,we will rely upon the chemical manufacturer to identify and evaluate the various hazards of the chemicals they supply to us. The Safety Committee will rely upon information provided on the Material Safety Data Sheet(MSDS). The MSDS is to identify all of the chemical characteristics as required by the OSHA standard. The Safety Committee will insure that MSDS's are readily accessible and that supervisors know their location. A. Respective Department Heads should see that each MSDS sheet is reviewed when received to see that it contains the following information: * Identities used on labels * Chemical and common(generic)names * Physical and chemical characteristics * Physical hazards * Health hazards(signs & symptoms of exposure,medical conditions aggravated by exposure) * Primary routes of entry * Air exposure limits * Carcinogenicity * Emergency and first aid procedures * Date of preparation of MSDS * Name, address and phone number of MSDS preparer or distributor * Any generally applicable precautions for safe handling and use that are known to the chemical manufacturer or employer preparing the MSDS, including appropriate hygienic practices, protective measures during repair and maintenance of contaminated equipment, and procedures for clean-up of spills and leaks. * Any generally applicable control measures which are know to the chemical manufacturer, or employer preparing the MSDS, such as appropriate engineering controls, work practices,or personal protective equipment. * The OHSA permissible exposure limit,ACGIH Threshold Limit Value, and any other exposure limit used or recommended by the chemical manufacturer or employer preparing the MSDS. * Whether the hazardous chemical is listed in the National Toxicology Program Annual Report on Carcinogens(latest edition)or has been found to be a potential carcinogen in the International Agency on Cancer Monographs or by OSHA. f B. The Safety Committee will write to the supplier for any missing information. If the supplier does not respond within 30 days the purchaser will be notified to find a new supplier or the Safety Committee will file a complaint with the local OSHA Area Office. C. The Safety Committee will coordinate necessary monitoring for any chemical in the workplace which is questionable or required by law. Monitoring will be conducted in one of the following manners: (1)in-house using Wittenberg University equipment and personnel or(2)by an independent consulting firm. III LIST OF HAZARDOUS CHEMICALS A complete list of MSDS's for all chemicals used within CCCLS will be kept in the office of Paul Marcey. Further information such as the physical &chemical hazards of the chemicals, Detection methods and protective measures for each chemical can be obtained by reviewing the MSDS. Employees are entitled to a copy of the MSDS if they so request. The list of all hazardous chemicals shall be subjected to cross-reference to the MSDS for each listed chemical. IV PROCEDURES FOR LABELING AND OTHER METHODS OF COMMUNICATION A. Labels and Other Forms of Warning. All containers in the workplace are to be labeled. The purpose of labeling each container is to properly identify the contents of the container so that the employee is warned as to what type of hazard(if any)the contents of the container present. a. Since chemical manufacturers are required to label their containers, CCCLS will use these labels as our primary means of labeling. Such chemical manufacturers are required to label their containers to meet OSHA standards. b. Chemicals removed from the original bottles will be identified by a label which shall contain the name of the chemical,the date on which the label was prepared,and the initials of the person preparing the label. Solutions will be labeled with the identity of the solvent,the concentration of each of the solutes,the date on which the solution was prepared, and the initials of the person who prepared the solution. For those chemicals and solutions for which a significant fire, explosion,health,or carcinogenicity hazard exists,the label shall identify the hazard and the severity of the hazard. For each type of hazard with a solution,the hazard severity information indicated on the label shall be, for that hazard,the most severe hazard indicated on the MSDS for any of the constituents of the solution. The MSDS will be used in each case where a label is lost or illegible. c. The Safety Committee or their designee within the respective departments will ensure that all containers of chemicals in the departments are correctly labeled. Any container which does not have this information may be returned to the supplier,at the supplier's expense. d. Each Department Head has the overall responsibility of ensuring that all containers of chemicals used in his or her department are correctly labeled. e. Labels are not to be removed from any container,or defaced in any manner. f. Empty containers are not to be re-used to store other materials unless the container has been cleaned,the old label removed, and a new label affixed in its place prior to its re-use. B. Informing Contractors about Hazards. To assist in evaluating potential exposures and to ensure that a contractor's employees are provided with information regarding potential hazards,prior to any contractor entering the work site the Director of Physical Plant,in consultation with the appropriate department head, will notify the contractor of any potential hazards relating to chemicals. The Safety Committee is a resource for the Director of Physical Plant to use to assist in identifying any potential hazards in the work site. C. Chemical Spills and Accidents. a. Should a hazardous material spill or accident occur, immediate attention is required by the person causing the spill to minimize the spread of the spilled material. It is then the responsibility of the person causing the spill to report the spill to the department supervisor. Except for the most minor spills,the department supervisor will arrange for the cleanup of the spilled material. Outside help will be called in to clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation. b. In the event of a hazardous material emergency outside a building, outside help may be called in to help clean up the spill when the extent of the spill or the material involved in the spill are such that inside help is not capable of handling the situation c. After the emergency, a Security Department "Incident Report" will be completed by the Security Department(sample "Incident Report" is shown in Appendix E). All accidents or near accidents will be carefully analyzed by the Safety Committee and the recommendations arising from the analysis will be distributed to all who might benefit from the information. Also,as a follow up to any safety related Incident Reports, a written recommendation will be sent to the Director of Security and a copy filed with the Incident Report for a permanent record. d. In the event of chemical exposure to the eyes, employee will be directed immediately to the "Emergency Eye Wash Station"located next to the tying machine. The employee must flood the effected area for 15 minutes until the chemical is washed out. e. In the event of chemical exposure to the body, employee will be directed immediately to the wash room, either men's or women's, and wash the effected area for 15 minutes until the chemical is washed out. D. Chemical Handling, Storage and Disposal. I Materials will be stored, insofar as is practicable,in their original containers. Bottles of chemicals should be placed on the storage shelves in such a way as to minimize the danger of bottles falling off the shelf. Chemicals will be stored on the shelves by chemical property. Highly toxic materials will be stored separately from other chemicals in a room which is locked when not in use. Flammable materials will be stored separately from other chemicals in special cabinets. All chemicals will be examined at least annually to determine the need for replacement and the integrity of the container and label. The proper disposal of hazardous material wastes is necessary to protect people,plants,and animals from harm that could be caused by the improper and careless disposal of these wastes. V PERSONAL PROTECTIVE EQUIPMENT Most personal protective equipment is provided by CCCLS to employees when and where necessary. It is the responsibility of each employee to be certain that the appropriate equipment is worn as necessary. The assessment of any hazards associated with exposure to hazardous chemicals which require the wearing of personal protective equipment is the responsibility of CCCLS. It is the responsibility of each employee to wear personal protective equipment as provided by CCCLS or as required by CCCLS. Eye Protection: Appropriate eye protection is provided to be worn by all persons,when chemicals are handled. For specific regulations see a copy of the "Wittenberg University Eye Protection Policy" attached to the Chemical Hygiene Plan. Hand Protection: Appropriate gloves are provided to be worn when the potential for contact with toxic materials exists. Inspect the gloves before each use. : Use appropriate dust masks when air containment concentrations are excessive. Inspect the dust masks before use. Miscellaneous: Use any other protective and emergency apparel and equipment appropriate. VI TRAINING CCCLS will provide employees with information and training on hazardous chemicals in their work area at the time of employment and whenever a new hazard is introduced into their work area. Annual refresher training will also be given. The Safety Committee will make available to each new employee a copy of the MSDS pamphlet(Appendix D). Our training is to be an opportunity to explain to employees not only the hazards of the chemicals in their work area,but also how to use the information provided in our Hazard Communication Program. This training will be accomplished by the department supervisor in an on-the-job basis. Training will include an opportunity for employees to ask questions to ensure that they understand the information presented to-them. Specifically,the training will include the following: r a. The requirements of the applicable OSHA standard 29 CFR 1910.1200. b. The operations in their work area where hazardous materials are present. c. Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area(visual appearance, odor,monitoring,etc.). d. The physical and health hazards of the chemicals in the work area. e. The measures employees can take to protect themselves from these hazards, including specific procedures CCCLS has implemented to protect the employees from exposure such as appropriate work practices, emergency procedures,and personal protective equipment to be used. f. The details of this Hazard Communication Program;the location and availability of the written program; an explanation of the labeling system and the MSDS; and how the employees can obtain and use the information. g. The personal protective equipment required for the employees specific job(if any). APPENDIX A SAFETY COMMITTEE MEMBERS APPENDIX B MSDS SHEETS APPENDIX C EMERGENCY PHONE NUMBERS APPENDIX A Safety Committee Members Jeffrey Ehart,President Paul Marcey, General Manager Max Cesard,Plant Manager APPENDIX B MSDS SHEETS MSDS Sheets are available for review and are located in the office of Paul Marcey, GM r APPENDIX C EMERGENCY PHONE NUMBERS Police 911 Fire 911 Rescue 911 Poison Control 1-800-222-1222 Chemical Emergency Assistance 1-800-424-9300 Jeffrey Ehart 508-428-1639(H), 508-776-3066(CELL) Paul Marcey 508-790-0091(H), 774-238-0704(CELL) Max Cesard 508-460-4034(H), 774-238-0705(CELL) Town of Barnstable IKE Tpk� Regulatory Services �. Thomas F. Geiler,Director MASS.� ' Public Health Division 39. Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �10C1 a� J DATE '!5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT :ef � NAME OF ESTABLISHMENT CCI)Ilq b-%ry J e4ry I U PL ADDRESS OF ESTABLISHMENT (PI S � l�44n 4g�) TELEPHONE NUMBER ) U�ro SOLE OWNER: `AYES NO _ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL ; PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HO E ADDRESS OF: PRESIDENT 3 e- -4� c�5 Skc IIGCIe� 12� 03 /ll1e( M9- �6sS TREASURER )Prxme ?'- 6 - CLERK C t SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS cx bao-e HOME TELEPHONE# 50�- "7 11 5((1 ro Q:\Application FormMAZAPP.DOC MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division- 200 Main Street f " Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the,check payable-to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page 1 QAApplication Forms\HAZAPP.DOC Number Fee 301 .THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Cape Cod Commercial Linen Service, Inc. " PO Box I11 - 485 West Main St., West Hyannisport,MA 02672 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PA_UL J._CANNIFF, D.M.D. 6/30/201 o JUNICHI SAWAYANAGI __T.HOMAS A.,MCKEAN, R.S.,CHO Director of Public Health 06. r 4 - e Town of Barnstable oF1HE r Regulatory Services ti � Op ''• Thomas F. Geiler, Director 4 BA ASS. a MASS. ` Public Health Division y AT ' 1639- ATFOMP�A' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 Application Fee: $100.00 b-I ASSESSORS MAP'AND PARCEL NO. ��IU ( 'Z��i�j DATE VU o APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS { k'c.e1 eat )'"t FULL NAME OF APPLICANT NAME OF ESTABLISHMENT CC)Q (0tj N�(f(,_ J{P'E-/ij Snacr • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER:A. YES No . IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT-IS A CORPORATION: FEDERAL IDENTIFICATION NO. D4 --3 3k4 q_5 q STATE OF INCORPORATION FULL NAME AND HO E ADDRESS OF: PRESIDENT ., a Pv ��-Zy (��y✓i�Il� �- C�6�5 TREASURER CLERK_ hQ • SIGNATUR OF APPLICANT RESTRICTIONS: ROME ADDRESS HOME TELEPHONE # ;5Q' X �12A— Haz.docA p'y 1 o y TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSP,E�C-T-ION SHEEN'----...............:_ FIRM ,�/A//.S ADDRESS :-* JAI_J-= 4do, Major types of materials: 1)� 2) 3) 4) 5) 6 •i I. Description of material(s) use: II. Storage (denote product by number listed a ove) A. Containers metal glass paper plastic ' I cans,bottles,jars -drums,barrels ^ r - aboveground tanks VKr ; i n underground tanks yr I* I bags,boxes open,loose,uncovered i inadequate labelling i B. Storage Facility ✓or:# Remarks/Recommendations 1. Indoor a) separate, contained room i b) stored in general work area ; i) inadequate ventilation _ ii) floor drains a j iii) inadequate fire protection 2. Outdoor .., a) uncovered,'. exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit -B. On-site disposal 1: Town. sewer 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1. hauled by own'firm r 2, hired hauler a) name of hauler b) address or disposal site sue : n Person.(s) Interviewed✓ ' , � Inspector � Date - - - - OWN OF BARNSTA BLE cati1PLIANCE: CLASS. 1. Marine;Gas a ions,Repai. Q satisfactory 3. . 'Auto Body s BOARD OF HEALTH 3. . Auto actu Shops unsatisfactory- 4. Manufacturers „ „ S. Retail Stores COMPANY a (see Orders ) 6. Fuel Suppliers ADDRESS 1 , 1� � � r'�/` �^-� Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) Case lots Drums AboveTanks Unde d Tanks MAJOR MATERIALS IN UT I OU IN U A 2 erest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, 02 (B) A ih Heavy Oils: waste motor oil (C) f transmission/hydraulic rV/V � Synthetic Organics: IV ti , 1 -ds,greasersrso'�'�^ `�'r�'` -'� Q'' � /d Cl Miscellaneous: 6�-y-NA \j , -A_.��X_ DISPOSAL RECLAMATION ` REMF RKS: ` t 1. Sanitary Sewage 2. fteSupply y own Sewer ublic �� -c ,. r site rivate . .a 1 3. •In oor Floor Drains. YESO �3��1 - - O Holding tank: MDC O Catch basin/Dry wel - 0 On-site systemUj ell 4. Outdoor Surface drains:YES , N0 , O HoldinL• tank: MDC Q OCatch basin/Dry well --- OOn-site system { S. Waste Transporter - .� Licensed? Name of auler- flAnt i nat i on t+ —A ' 1 ' xfir I vie nspector UatePe, sY 2s eiu